Tuesday, 07 October 2025 00:00

Understanding Bunions and Their Causes

Bunions are bony bumps that form at the base of the big toe when the joint shifts out of alignment. They can be caused by a variety of factors, including genetics, wearing tight or narrow shoes, and arthritis. Other factors are foot injuries or abnormal foot mechanics, such as flat feet or overpronation. Symptoms include a visible bump on the side of the foot, redness, swelling, pain, and difficulty finding in comfortable footwear. The affected area may feel tender or stiff, and walking can become increasingly uncomfortable as the bunion worsens. A podiatrist can diagnose bunions through a physical examination and imaging tests like X-rays to assess the severity of the deformity. Treatment options range from conservative measures, such as padding, orthotics, and shoe modifications, to minimally invasive or traditional surgery, in more severe cases. Early care can help reduce pain and prevent progression. If you have the beginning signs of a bunion, it is suggested that you schedule an appointment with a podiatrist to discuss symptoms and develop an effective treatment plan.

If you are suffering from bunions, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

Refrain from wearing heels or similar shoes that cause discomfort
Select wider shoes that can provide more comfort and reduce pain
Anti-inflammatory and pain management drugs
Orthotics or foot inserts
Surgery

If you have any questions, please feel free to contact one of our offices located in Bensalem, Pennsylvania, Port Richmond, Philadelphia, and Hamilton, New Jersey . We offer the newest diagnostic and treatment technologies for all your foot care needs.

What Are Bunions?

Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.

The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.

Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.

Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.

Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.

If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.

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Tuesday, 30 September 2025 00:00

Peripheral Arterial Disease and Its Impact on the Feet

Peripheral arterial disease is a condition where the arteries that carry blood to the legs and feet become narrowed. When circulation is reduced, the feet may feel cold, wounds may heal very slowly, and walking can cause cramping or pain. The skin can sometimes appear pale, shiny, or thin due to the lack of proper blood flow. In more advanced stages, ulcers or sores may develop, which can be difficult to treat without medical attention. Lifestyle factors such as smoking, high cholesterol, and diabetes can increase the risk of this condition. Maintaining healthy habits, staying active, and protecting the feet from injury are all important for prevention. If you notice persistent leg pain, non-healing wounds, or changes in skin color, it is suggested that you seek evaluation from a podiatrist to receive timely and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

Claudication (leg pain from walking)
Numbness in legs
Decrease in growth of leg hair and toenails
Paleness of the skin
Erectile dysfunction
Sores and wounds on legs and feet that won’t heal
Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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Tuesday, 30 September 2025 00:00

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

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Tuesday, 23 September 2025 00:00

A Focused Mind May Help to Prevent Running Injuries

There are many people that enjoy running as a hobby, stress reliever, or possibly to accomplish a personal goal. Rehabilitation or extensive healing times may be avoided when proper techniques that can prevent running injuries are practiced. These can include developing a focused attitude, and increasing physical strength, which may help to increase stamina. Additionally, many people find it beneficial to follow a professional training program. The legs may feel better when a foam roller is used, which may help to protect the joints. If you would like more information about how running injuries can affect the feet and how to possibly prevent them, it is suggested that you consult with a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
“Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
Cross-Training is Crucial
Wear Proper Running Shoes
Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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Tuesday, 23 September 2025 00:00

Preventing Running Injuries

Over half of all runners encounter at least one injury per year. The reason for this is because many runners do not train properly. Injuries are almost inevitable due to the physical stress that running causes. While our bodies are great at adapting to the stress, it can only handle it in small doses. Injuries occur when the stress is applied too quickly for the body to handle, causing something within it to break down. With each step you take, your leg is absorbing two or three times your body’s weight.

Some of the most popular running injuries are shin splints, plantar fasciitis, Achilles tendinitis, and stress fractures. Shin splints cause pain along the inside or outside of the shins, and this pain is usually felt at the beginning of a run. The condition itself is defined as an inflammation of the muscles or tendons located around the shinbone. To treat shin splints, it is advised that you ice the shin area and stretch the calf muscles. To prevent this injury, you should slowly increase the distance you plan on running, instead of jumping into a more strenuous routine.

Achilles tendinitis is another common injury and it feels like pain along the back of the leg, toward the heel. This condition is defined as an inflammation of the Achilles which is the largest tendon in the body. The Achilles is responsible for connecting your calf muscles to the heel bone and it is caused by tight calf muscles. If you want to treat this injury, you should take a break from running to cross train with a low-impact activity.

There are a lot of common mistakes runners make that are causing them to experience injury. One mistake is stretching too much prior to warming up. If you plan to go on a run, you should warm up with a gentle 3-5-minute walk followed by a 5-minute run-walk. Another common mistake is jumping into a routine too quickly. Consequently, you should incorporate cross-training into your routine. If you are looking to get active, you should slowly weave running into an activity you are currently participating in. For example, you can try bike riding for 40 minutes followed by a 10-minute run.

Another way to prevent running injuries is to choose shoes that are appropriate for running. There are certain things you should look for when buying a new pair of running shoes. An important factor in these sneakers is flexibility. Running shoes should be capable of bending and flexing at the forefoot. However, you should not be able to bend the entire shoe in half with ease because this is a sign that the shoe does not have enough structure. Additionally, you should look for the fit of the running shoes you want to purchase. It is best to visit a specialty running shoe store to have your feet properly sized. Choosing shoes that fit properly can prevent many foot ailments.

If you are suffering from any pain from running injuries, you should make an appointment with your podiatrist to discover the underlying cause of your pain. He or she will be able to help treat your condition in the best way possible.

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Monday, 22 September 2025 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

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Tuesday, 16 September 2025 00:00

Causes and Symptoms of Ankle Sprains

A sprained ankle occurs when the ligaments that support the ankle joint are torn, or stretched beyond their limits, and is usually the result of an unexpected twist or roll of the foot. Ankle sprains often happen during sports that involve sudden changes in direction, running on uneven ground, wearing high-heels or flip-flops, or stepping awkwardly off a curb. A previous ankle injury can increase the chance of re-spraining due to reduced stability and balance. Symptoms include pain, swelling, bruising, and tenderness surrounding the ankle, depending on the severity. A mild sprain may still allow walking, while a severe sprain can cause sharp pain, instability, and difficulty bearing weight. Sprains are classified as grade 1 with mild stretching, grade 2 with partial tearing, and grade 3 with complete rupture of the ligament. A podiatrist can diagnose the severity of the sprain and provide appropriate treatment. If you believe you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist for an evaluation and treatment options.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

Pain at the sight of the tear
Bruising/Swelling
Ankle area is tender to touch
In severe cases, may hear/feel something tear
Skin discoloration

Preventing a Sprain

Wearing appropriate shoes for the occasion
Stretching before exercises and sports
Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

Ankle Sprains

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

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Tuesday, 09 September 2025 00:00

Causes of Cracked Heels Include Vitamin Deficiency

Cracked heels are more than a cosmetic concern and may signal underlying health issues, including vitamin deficiencies. Lack of vitamin E can reduce skin elasticity, vitamin B3 deficiency may cause dryness and inflammation, and low vitamin C can impair healing and collagen production. Other causes of cracked heels include skin conditions like eczema, fungal infections such as athlete's foot, or frequently walking barefoot which increases pressure on the skin. A podiatrist can assess the root cause, provide treatments to soften and heal the skin, and recommend lifestyle changes or supplements, if needed. Cracked heels can be painful, and may interfere with completing daily activities. If you have developed this condition, it is suggested that you promptly consult a podiatrist who can provide effective relief and treatment remedies.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

Invest in a good foot cream
Try Using Petroleum Jelly
Ease up on Soaps
Drink Plenty of Water

Ways to Prevent Cracked Heels

Moisturize After Showering
Skip a Shower
Keep Shower Water Lukewarm
Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.

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